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a Control number Void For Official Use Only ©

22222 OMB No. 1545-0008


b Employer identification number 1 Wages, tips, other compensation 2 Guam income tax withheld

c Employer’s name, address, and ZIP code 3 Social security wages 4 Social security tax withheld

5 Medicare wages and tips 6 Medicare tax withheld

7 Social security tips 8 Benefits included in box 1

d Employee’s social security number 9 Advance EIC payment 10

e Employee’s name (first, middle initial, last) 11 Nonqualified plans 12

13 See Form W-3SS instructions 14 Other

15 Statutory Pension Deferred


employee plan compensation
f Employee’s address and ZIP code

Guam Cat. No. 16026K Department of the Treasury—Internal Revenue Service

Wage and Tax


W-2GU
Form

Statement 1999 For Privacy Act and Paperwork Reduction Act Notice
and instructions, see Form W-3SS.
Copy A—For Social Security Administration
Send this entire page with Copy A of Form W-3SS to the
Social Security Administration; photocopies are not acceptable.

Do NOT Cut, Staple, or Separate Forms on This Page — Do NOT Cut, Staple, or Separate Forms on This Page
a Control number Void
22222 OMB No. 1545-0008
b Employer identification number 1 Wages, tips, other compensation 2 Guam income tax withheld

c Employer’s name, address, and ZIP code 3 Social security wages 4 Social security tax withheld

5 Medicare wages and tips 6 Medicare tax withheld

7 Social security tips 8 Benefits included in box 1

d Employee’s social security number 9 Advance EIC payment 10

e Employee’s name, address, and ZIP code 11 Nonqualified plans 12

13 14 Other

15 Statutory Pension Deferred


employee plan compensation

Guam Department of the Treasury—Internal Revenue Service

Wage and Tax


W-2GU
Form

Statement 1999
Copy 1—For Guam Department of Revenue and Taxation
a Control number
OMB No. 1545-0008
b Employer identification number 1 Wages, tips, other compensation 2 Guam income tax withheld

c Employer’s name, address, and ZIP code 3 Social security wages 4 Social security tax withheld

5 Medicare wages and tips 6 Medicare tax withheld

7 Social security tips 8 Benefits included in box 1

d Employee’s social security number 9 Advance EIC payment 10

e Employee’s name, address, and ZIP code 11 Nonqualified plans 12

13 See instructions on back of 14 Other


Copy C

15 Statutory Pension Deferred


employee plan compensation

Guam Department of the Treasury—Internal Revenue Service

Wage and Tax This information is being furnished to the

W-2GU
Form

Statement 1999 Guam Department of Revenue and Taxation.

Copy B—To Be Filed With Employee’s Guam Tax Return


a Control number
OMB No. 1545-0008
b Employer identification number 1 Wages, tips, other compensation 2 Guam income tax withheld

c Employer’s name, address, and ZIP code 3 Social security wages 4 Social security tax withheld

5 Medicare wages and tips 6 Medicare tax withheld

7 Social security tips 8 Benefits included in box 1

d Employee’s social security number 9 Advance EIC payment 10

e Employee’s name, address, and ZIP code 11 Nonqualified plans 12

13 See instructions on back 14 Other

15 Statutory Pension Deferred


employee plan compensation

Guam Department of the Treasury—Internal Revenue Service

Wage and Tax This information is being furnished to the

W-2GU
Form

Statement 1999 Guam Department of Revenue and Taxation.

Copy C—For EMPLOYEE’S RECORDS


Notice to Employee G—Elective and nonelective deferrals to a section 457(b) deferred
compensation plan
Earned income credit (EIC). You must file a tax return regardless of H—Elective deferrals to a section 501(c)(18)(D) tax-exempt organization
your income if any amount is shown in box 9, Advance EIC (earned plan (You may be able to deduct.)
income credit) payment. If you qualify, you can get the earned income
J—Nontaxable sick pay (not includible as income)
credit in advance by giving Form W-5, Earned Income Credit Advance
Payment Certificate, to your employer. See Pub. 596, Earned Income M—Uncollected social security tax on cost of group-term life insurance
Credit, for more details. coverage over $50,000 (former employees only)
File Copy B of this form with your 1999 Guam income tax return. N—Uncollected Medicare tax on cost of group-term life insurance
Keep Copy C for your records. If your name, social security number coverage over $50,000 (former employees only)
(SSN), or address is incorrect, correct Copies B and C, and ask your P—Excludable moving expense reimbursements paid directly to
employer to correct your employment record. Be sure to ask the employee (not included in box 1)
employer to file Form W-2c, Corrected Wage and Tax Statement, with Q—Military employee basic housing, subsistence, and combat zone
the Social Security Administration (SSA) to correct any name, amount, compensation
or SSN error reported to the SSA.
R—Employer contributions to your medical savings account (MSA)
If you expect to owe self-employment tax of $1,000 or more for
S—Employee salary reduction contributions to a section 408(p)
2000, you may have to make estimated tax payments to the U.S.
SIMPLE (not included in box 1)
Internal Revenue Service. Use Form 1040-ES, Estimated Tax for
Individuals. T—Adoption benefits (not included in box 1).
Box 8. If there is an amount in this box, you may be able to deduct Box 15. If the “Pension plan” box is checked, special limits may apply
expenses that are related to fringe benefits; see the instructions for to the amount of traditional IRA contributions you may deduct. If the
your income tax return. “Deferred compensation” box is checked, the elective deferrals in box
13 (codes D, E, F, G, H, and S) (for all employers, and for all such
Box 9. Enter this amount on the advance earned income credit
plans to which you belong) are generally limited to $10,000. Elective
payments line of your tax return.
deferrals for section 403(b) contracts are limited to $10,000 ($13,000 in
Box 11. This amount is (a) reported in box 1 if it is a distribution from a some cases; see Pub. 571). Amounts over these limits must be
nonqualified deferred compensation or section 457 plan or (b) included included in income.
in box 3 and/or 5 if it is a prior year deferral under a nonqualified or
Credit for Guam income tax withheld. If you are required to file your
section 457 plan that became taxable for social security and Medicare
return with the United States or the Commonwealth of the Northern
taxes this year because there is no longer a substantial risk of
Mariana Islands, instead of with Guam, add the Guam income tax
forfeiture of your right to the deferred amount.
withheld to the other withholding tax credits on your income tax return.
Box 13. The following list explains any codes shown in box 13. You
Credit for excess social security tax. If you had more than one
may need this information to complete your tax return.
employer in 1999 and more than $4,501.20 in social security tax was
A—Uncollected social security tax on tips withheld, you may have the excess refunded by filing Form 843, Claim
B—Uncollected Medicare tax on tips for Refund and Request for Abatement, with the Internal Revenue
C—Cost of group-term life insurance coverage over $50,000 (included Service Center in Philadelphia. If you must file Form 1040 with the
in box 1) United States, claim the excess tax as a credit on Form 1040.
D—Elective deferrals to a section 401(k) cash or deferred arrangement. Note: Keep Copy C of Form W-2GU for at least 3 years after the due
Also includes deferrals under a SIMPLE retirement account that is part date for filing your income tax return. However, to help protect your
of a section 401(k) arrangement. social security benefits, keep Copy C until you begin receiving social
security benefits, just in case there is a question about your work
E—Elective deferrals under a section 403(b) salary reduction agreement
record and/or earnings in a particular year. The SSA suggests you
F—Elective deferrals to a section 408(k)(6) salary reduction SEP confirm your work record with them from time to time.
a Control number Void
OMB No. 1545-0008
b Employer identification number 1 Wages, tips, other compensation 2 Guam income tax withheld

c Employer’s name, address, and ZIP code 3 Social security wages 4 Social security tax withheld

5 Medicare wages and tips 6 Medicare tax withheld

7 Social security tips 8 Benefits included in box 1

d Employee’s social security number 9 Advance EIC payment 10

e Employee’s name, address, and ZIP code 11 Nonqualified plans 12

13 See Form W-3SS instructions 14 Other

15 Statutory Pension Deferred


employee plan compensation

Guam Department of the Treasury—Internal Revenue Service

Wage and Tax For Privacy Act and Paperwork Reduction Act Notice

W-2GU
Form

Statement 1999 and instructions, see Form W-3SS.

Copy D—For Employer


Instructions for Preparing employee asks for Form W-2GU, furnish him or her
the completed copies within 30 days of the request
Form W-2GU or within 30 days of the final wage payment,
Who must file. Prepare Form W-2GU for each of whichever is later. You may also file Copy A and
your employees to whom any of the following Form W-3SS, Transmittal of Wage and Tax
items applied during 1999: Statements, with the Social Security Administration
at the same time.
a. You withheld income tax or social security and
Medicare taxes. Note: If you ter minate your business, see the rules
on fur nishing and filing For ms W-2GU and W-3SS
b. You would have withheld income tax if the under Terminating a business in the For m W-3SS
employee had not claimed more than one instructions.
withholding allowance.
When to file. By February 29, 2000, send Copy A
c. You paid any amount for services if you are in of Forms W-2GU and W-3SS to the Social
a trade or business. Include the cash value of any Security Administration. However, the due date if
payment you made that was not in cash. you file electronically (not by magnetic media) is
d. You made any advance EIC (earned income March 31, 2000. See Form W-3SS.
credit) payments. Reporting on magnetic media. If you must file
Distribution of copies. By January 31, 2000, 250 or more Forms W-2GU, you must file using
furnish Copies B and C to each person who was magnetic media or electronically. For information,
your employee during 1999. For anyone who contact the Magnetic Media Coordinator at
stopped working for you before the end of 1999, 510-970-8247.
you may furnish them copies any time after See Form W-3SS for more information on how
employment ends but by January 31. If the to complete Form W-2GU.